Treating Addicted Survivors of Trauma

by Evans, Katie; Sullivan, J. Michael

• ISBN13: 9780898623062
• ISBN10: 0898623065
• Format: Hardcover
• Copyright: 1994-12-02
• Publisher: The Guilford Press

Summary

This volume provides the tools professionals need to help adult and adolescent survivors of childhood abuse and other traumas who struggle with addictive disorders. Systematically integrating mental health paradigms with disease models of addiction, this easy-to-implement model combines psychotherapeutic techniques with 12-step recovery practices for effective assessment and treatment.

Author Biography

Katie Evans, CADC II, NAC II, is the President and Treatment Coordinator of the Evans and Sullivan Clinic. Ms. Evans is a Board Certified Alcohol and Drug Counselor at both state and national levels. She is currently completing her Ph.D. in psychology with an emphasis in addiction treatment, and maintains a clinical practice.
J. Michael Sullivan, Ph.D., is a licensed clinical psychologist in Oregon and Washington. Dr. Sullivan is the Clinical Director at Evans and Sullivan Clinic in Beaverton, Oregon. He also maintains an active clinical practice.
Katie Evans and J. Michael Sullivan's previous publications include Dual Diagnosis: Counseling The Mentally Ill Substance Abuser, as well as numerous client workbooks, booklets, and videos. Dr. Sullivan and Ms. Evans are recognized nationally as outstanding presenters of both mental health and chemical dependency related topics, specializing in dual diagnosis issues.

Table of Contents

Philosophy of Treatment	1	(18)
Childhood Trauma and Its Role in Psychological Difficulties	2	(2)
Working through Abuse Safely	4	(2)
The Addicted Survivor	6	(2)
Models for Treating Addiction and Alcoholism	8	(5)
The Need for an Integrated Model	13	(6)
Rachel's Story	19	(12)
The Impact and Process of Abuse	31	(36)
The Impact of Abuse	31	(3)
Abuse as a Process, Not an Event	34	(26)
The Process of Abuse and the Continuum of Outcomes	60	(7)
Addiction and Survivors	67	(28)
Alcohol and Drug Use Disorders	67	(1)
Psychological and Physical Addiction	68	(2)
Symptoms of the Disease of Addiction	70	(4)
Assessment Tools	74	(2)
Stage of Addiction	76	(2)
The Recovery Process	78	(6)
Survivors and Recovery from Addiction	84	(7)
Preventing and Managing Relapse	91	(1)
Concluding Comments	92	(3)
A Model for Dual Recovery and Crisis Stage Interventions	95	(24)
Key Issues in Blending Approaches	95	(9)
The Dual Recovery Model	104	(4)
The Crisis Stage	108	(1)
Treatment Tactics	109	(10)
Interventions in Later Stages of Recovery	119	(36)
The Skills-Building Stage	119	(14)
The Education Stage	133	(12)
The Integration Stage	145	(7)
The Maintenance Stage	152	(3)
Depression, Anger, and Dissociation	155	(42)
The Anxious Depressed Survivor	155	(10)
The Angry Survivor	165	(19)
The Dissociative Survivor	184	(13)
The Addicted Adolescent Survivor	197	(28)
Adolescence: A Disease or a Developmental Stage?	197	(1)
Developmental Issues, Trauma, and Chemical Use	198	(2)
The Addicted Teen Survivor's Worldview	200	(3)
Adolescent Narcissism	203	(1)
Peer Orientation	204	(4)
Establishing a New Identity	208	(2)
Body Image and Sexuality	210	(2)
Other Identity Issues	212	(1)
Power Struggles and the Need for Autonomy	213	(7)
Medications	220	(1)
Other Therapy Strategies with Addicted Teen Survivors	221	(4)
Addicted Survivors in Their Families, at Work, and in Therapy Groups	225	(29)
Family Life, Past and Present	227	(8)
Families and the General Recovery Model	235	(1)
Teen Survivors and Family Therapy	236	(1)
Special Issues for Survivor Partners	237	(1)
Other Common Core Survivor Issues and Their Impact on the Family	238	(3)
General Treatment Strategies and Issues	241	(5)
The Workplace as Family	246	(1)
Group Work with Addicted Survivors	247	(5)
Defining the Normal Family	252	(2)
Afterword The Dragon Dies, the Child Survives	254	(9)
Transference and Countertransference	255	(2)
Therapists as Survivors	257	(3)
Progress, Not Perfection	260	(3)
Appendix	263	(12)
Dual Diagnosis Assessment Tool	263	(3)
Specialized Step Work for the Anxious Survivor	266	(1)
Specialized Step Work for the Depressed Survivor	267	(3)
Specialized Step Work for the Angry Acting-Out Survivor	270	(5)
Index	275